临床外科杂志 ›› 2019, Vol. 27 ›› Issue (7): 589-591.doi: 10.3969/j.issn.1005-6483.2019.07.015

• 论著 • 上一篇    下一篇

产前乳腺炎23例诊治报道

  

  1. 湖北省妇幼保健院甲乳外科  
  • 出版日期:2019-07-20 发布日期:2019-07-20

Diagnosis and treatment strategy and prognosis of antepartum mastitis of the:23 cases report 

  • Online:2019-07-20 Published:2019-07-20

摘要: 目的:探讨产前乳腺炎的诊治方法。方法:23例产前乳腺炎病人,在门诊已行空芯针穿刺,病理证实为以淋巴浆细胞为主,同时伴有乳管扩张的炎性病变。行单纯抗生素治疗14例,其中4例在进行抗生素治疗后完全缓解,治疗过程中出现脓肿形成6例,无明显缓解2例,2例病人症状加重遂进行了一期根除性手术。9例病人在初诊时已发现形成脓肿,共15例病人进行了小切口的脓肿切开引流术。结果:术后无一例病人发生出血、再发感染等并发症。所有病人均安全生产,未发生早产、流产、过期产、畸形儿等,胎儿均健康。随访2年,无病人再复发,也未发现小儿发育异常。结论:产前乳腺炎病人需考虑胎儿的安全性,应根据病情选择损伤最小、疗效最佳的治疗方案。

关键词: 产前乳腺炎, 妊娠期, 非哺乳期乳腺炎

Abstract: Objective:To explore the diagnosis and treatment of antepartum mastitis.Methods:The clinicopathological,operative and followup data of 23 cases of antepartum mastitis were retrospectively analyzed.Results:The clinical and pathological data of all the 23 patients were complete.All patients had received core biopsy in the outpatient department.Among the 14(60.8%)patients treated with antibiotics alone,4(17.4%)patients had complete response after antibiotic treatment,6(26.1%)patients had abscess  during treatment,2(8.7%)patients had no significant remission,and 2(8.7%)patients underwent radical surgery after symptom aggravation.Abscess formation was found in 9(39.1%)patients at the initial diagnosis,and a total of 15(65.2%)patients underwent abscess incision and drainage with small incision.Postoperative complications such as hemorrhage and recurrent infection were not found in any patients.All patients gave birth normally,without premature birth,abortion,overdue birth,deformed baby,etc.,and the fetus was healthy.The patients were followed up for 2 years,and no recurrence was found.Conclusion:Prenatal mastitis patients,need to consider the safety of the fetus,according to the condition of the choice of the least damage,the best therapeutic regimen.

Key words: antepartum mastitis, pregnancy, nonlactating mastitis

[1] 于琦, 王钢乐. 非哺乳期乳腺炎的临床诊治研究[J]. 临床外科杂志, 2019, 27(3): 201-203.
[2] 李银珍. 非哺乳期乳腺炎的高频超生诊断[J]. 临床外科杂志, 2012, 20(5): 345-345.
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